FeeBase
Log inGet started
Menu

CPT code 11012: Fracture-site debridement, through bone2026 Medicare rate & RVUs in Puerto Rico

Reports debridement through bone at an open fracture or dislocation site when the surgeon removes devitalized tissue or foreign material.

CMS RVU26DEffective Oct 1, 2026One payment locality8.9K Medicare services in 2024

In Puerto Rico, Medicare pays $690.67 for 11012 in the office and $362.78 when it’s performed in a hospital or facility.

$690.67Office (non-facility)
$362.78Hospital or facility
+0.6%vs the national office rate ($686.72)

Check a contract rate as a % of Medicare · 11012 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 11012 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 11012 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 11012 covers

An orthopedic or trauma surgeon uses this service to remove contaminated or devitalized tissue, including bone, at the site of an open fracture or dislocation. It may be performed in the operating room during acute injury care. The defining feature is debridement through bone at that injury site; the code also encompasses the skin, subcutaneous tissue, and muscle or fascia addressed in the procedure.

Choose this level from the deepest tissue debrided at the open fracture or dislocation site, and document the injury site, tissues removed, and operative findings supporting bone debridement. This code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS prices the code as bilateral; modifier 50 does not increase payment. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 11012

Across 109 of 109 payment localities, the office rate for 11012 runs from $606.28 in Arkansas to $876.01 in San Benito County, CA. Puerto Rico pays $690.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

11012 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$690.67
  2. Los Angeles, CA · California$757.73+$67.06
  3. Washington, DC area · District of Columbia$778.34+$87.67
  4. Miami, FL · Florida$771.31+$80.64
  5. Chicago, IL · Illinois$747.48+$56.81
  6. Manhattan, NY · New York$794.73+$104.06
  7. Alaska · Alaska$806.04+$115.37

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

11012 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$615.23$331.45
ArkansasArkansas$606.28$327.69
ArizonaArizona$667.39$353.12
Bakersfield, CACalifornia$713.94$358.49
Chico, CACalifornia$710.28$354.82
El Centro, CACalifornia$710.50$355.04
Fresno, CACalifornia$710.28$354.82
Hanford, CACalifornia$710.28$354.82

11012 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$606.28

$806.04

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11012 office rate range by state
State / territoryOffice rate rangeLocalities
AK$806.041
AL$615.231
AR$606.281
AZ$667.391
CA$710.28–$876.0129
CO$706.561
CT$732.711
DC$778.341
DE$678.361
FL$690.47–$771.313
GA$649.95–$702.962
GU$725.541
HI$725.541
IA$624.531
ID$629.981
IL$675.11–$747.484
IN$633.481
KS$624.641
KY$636.481
LA$636.70–$668.012
MA$703.55–$772.302
MD$690.37–$778.343
ME$636.55–$666.682
MI$655.97–$702.312
MN$667.831
MO$627.78–$666.713
MS$617.001
MT$686.631
NC$642.741
ND$660.531
NE$627.051
NH$698.381
NJ$738.48–$770.832
NM$660.821
NV$679.781
NY$652.69–$817.995
OH$650.641
OK$632.071
OR$671.95–$725.512
PA$649.95–$716.432
PR$690.671
RI$700.031
SC$648.281
SD$657.451
TN$628.191
TX$645.90–$706.448
UT$657.091
VA$666.64–$778.342
VI$690.671
VT$660.751
WA$701.29–$784.922
WI$638.621
WV$650.861
WY$675.261

See 11012 in every payment locality

How the 11012 rate is calculated

Each of 11012’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 11012

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.70

6.70 RVUs× 1.000 GPCI

Practice expense12.54

12.54 RVUs× 1.000 GPCI

Malpractice1.32

1.32 RVUs× 1.000 GPCI

Adjusted RVUs

20.5600

Conversion factor

$33.4009

Medicare rate

$686.72

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,250

Code
11012
Physician work
6.70
Practice expense
12.54
Malpractice
1.32

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11012 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work6.70× 1.0006.7000
Practice expense12.54× 1.01112.6779
Malpractice1.32× 0.9851.3002
Total RVUs20.6781
Conversion factor× 33.4009

Office rate, Puerto Rico$690.67

Office: (6.7 × 1 + 12.54 × 1.011 + 1.32 × 0.985) × $33.4009 = $690.67

Facility: (6.7 × 1 + 2.83 × 1.011 + 1.32 × 0.985) × $33.4009 = $362.78

Open 11012 in the RVU calculator

Payment rules and modifiers for 11012

The CMS indicators that decide how 11012 is paid alongside other services.

CMS payment indicators · 11012

Fracture-site debridement, through bone

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11012 without 51 · national office

$686.72

Fracture-site debridement, through bone

11012-51 · Second procedure: 50%

$343.36

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 11012

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 11012
CodeHow it relatesOffice range, Puerto Rico
Same family
11010Fracture debridement, skin and subcutaneous tissueOpen fracture or dislocation site debridement limited to skin and subcutaneous tissue.$472.29
11011Fracture-site debridement, through muscle or fasciaOpen fracture or dislocation site debridement through muscle or fascia, but not bone.$541.07
Used instead
11044Wound debridement, bone, first 20 sq cmBone-level wound debridement selected by area outside the open fracture or dislocation site context.$322.15
11043Wound debridement, muscle or fascia, initial areaMuscle or fascia wound debridement selected by area outside the open fracture or dislocation site context.$240.79

How 11012 has changed in Puerto Rico

11012 · Office / nonfacility

$690.67

Effective 2026-10-01

The base rate is $62.35 higher than on 2025-10-01, moving from $628.32 to $690.67 (9.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $628.32changed to$690.67

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.87 changed to 6.70
    • Practice expense RVU 11.19 changed to 12.54
    • Malpractice RVU 1.31 changed to 1.32
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $652.27changed to$628.32

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.33 changed to 11.19
    • Malpractice RVU 1.34 changed to 1.31

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $641.63changed to$652.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $664.87changed to$641.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.37 changed to 11.33
    • Malpractice RVU 1.31 changed to 1.34
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $662.49changed to$664.87

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $673.12changed to$662.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.18 changed to 11.37
    • Malpractice RVU 1.33 changed to 1.31
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $691.40changed to$673.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.59 changed to 11.18
    • Malpractice RVU 1.28 changed to 1.33

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $700.66changed to$691.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.21 changed to 11.59
    • Malpractice RVU 1.26 changed to 1.28
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $715.66changed to$700.66

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.59 changed to 11.21
    • Malpractice RVU 1.33 changed to 1.26
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $731.54changed to$715.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.04 changed to 11.59
    • Malpractice RVU 1.34 changed to 1.33

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $646.39changed to$731.54

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.98 changed to 12.04
    • Malpractice RVU 1.38 changed to 1.34
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $564.68changed to$646.39

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.04 changed to 11.98
    • Malpractice RVU 1.41 changed to 1.38
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $563.30changed to$564.68

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.93 changed to 12.04
    • Malpractice RVU 1.35 changed to 1.41

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $560.50changed to$563.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $553.97changed to$560.50

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 1.25 changed to 1.35
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $548.17changed to$553.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.15 changed to 11.93
    • Malpractice RVU 1.31 changed to 1.25
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $548.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$690.67$362.78RVU26D
2026-07-01$690.67$362.78RVU26C
2026-04-01$690.67$362.78RVU26B
2026-01-01$690.67$362.78RVU26A
2025-10-01$628.32$403.57RVU25D
2025-07-01$628.32$403.57RVU25C
2025-04-01$628.32$403.57RVU25B
2025-01-01$628.32$403.57RVU25A
2024-10-01$652.27$412.94RVU24D
2024-07-01$652.27$412.94RVU24C
2024-04-01$652.27$412.94RVU24B
2024-03-09$652.27$412.94RVU24AR
2024-01-01$641.63$406.20RVU24A
2023-10-01$664.87$418.93RVU23D
2023-07-01$662.49$418.51RVU23C
2023-04-01$662.49$418.51RVU23B
2023-01-01$662.49$418.51RVU23A
2022-10-01$673.12$424.05RVU22D
2022-07-01$673.12$424.05RVU22C
2022-04-01$673.12$424.05RVU22B
2022-01-01$673.12$424.05RVU22A
2021-10-01$691.40$425.85RVU21D
2021-07-01$691.40$425.85RVU21C
2021-04-01$691.40$425.85RVU21B
2021-01-01$691.40$425.85RVU21A
2020-10-01$700.66$436.92RVU20D
2020-07-01$700.66$436.92RVU20C
2020-04-01$700.66$436.92RVU20B
2020-01-01$700.66$436.92RVU20A
2019-10-01$715.66$439.84RVU19D
2019-07-01$715.66$439.84RVU19C
2019-04-01$715.66$439.84RVU19B
2019-01-01$715.66$439.84RVU19A
2018-10-01$731.54$442.62RVU18D
2018-07-01$731.54$442.62RVU18C
2018-04-01$731.54$442.62RVU18B
2018-01-01$731.54$442.62RVU18AR1
2017-10-01$646.39$402.77RVU17D
2017-07-01$646.39$402.77RVU17C
2017-04-01$646.39$402.77RVU17B
2017-01-01$646.39$402.77RVU17A
2016-10-01$564.68$362.49RVU16D
2016-07-01$564.68$362.49RVU16C
2016-04-01$564.68$362.49RVU16B
2016-01-01$564.68$362.49RVU16A
2015-10-01$563.30$362.16RVU15D
2015-07-01$563.30$362.16RVU15C
2015-04-01$560.50$360.35RVU15B
2015-01-01$560.50$360.35RVU15A
2014-10-01$553.97$358.39RVU14D
2014-07-01$553.97$358.39RVU14C
2014-04-01$553.97$358.39RVU14B
2014-01-01$553.97$358.39RVU14A
2013-10-01$548.17$344.26RVU13D
2013-07-01$548.17$344.26RVU13C
2013-04-01$548.17$344.26RVU13B
2013-01-01$548.17$344.26RVU13AR

Price 11012 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

11012 billing questions

How does 11012 differ from 11010 and 11011?

11012 is selected when debridement at the open fracture or dislocation site reaches bone. 11010 covers skin and subcutaneous tissue, while 11011 includes muscle or fascia but not bone.

Can 11012 be used for routine wound debridement?

No. It describes debridement at an open fracture or dislocation site. For wound debridement outside that injury context, consider the wound-debridement code family selected by tissue depth and area.

What documentation supports reporting 11012?

Document the open fracture or dislocation site, operative findings, and the tissue actually debrided, including bone. The record should support that the work was performed at the injury site.

Does modifier 50 increase payment for bilateral services?

No. CMS prices 11012 as bilateral, and modifier 50 does not increase payment.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

Can an assistant surgeon or co-surgeon be paid for 11012?

Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 11012PPRRVU2026_Oct_nonQPP.csv, line 1,250 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11012 pays in Puerto Rico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 11012 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist